Bladen County Schools Bullying Report Form
Bladen County Schools does not discriminate on the basis of race, color, national origin, religion, sex (including pregnancy), martial status, sexual orientation, disability, age, genetic information, gender identify, gender expression, citizenship status, veteran status, political affiliation or economic status in its programs, activities and employment and provides equal access.  The following individual has been designated to accept allegations regarding non-discrimination policies:  Superintendent of Bladen County Schools, 1489 US Hwy 701 South, Elizabethtown, NC 28337 (910-862-4136).  The following person has been designated to handle inquires regarding the non-discrimination policies:  Ann Brown, Chief Operations Officer,  1489 US Hwy 701 South, Elizabethtown, NC 28337 (910-862-4136).
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Today's Date *
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Date of Incident *
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Described what happened/what is happening. *
When did it happen? *
Where did it happen? *
Required
Names of student(s) bullying. *
Name of student(s) being bullied *
Names of witnesses/bystanders *
Reported to school by *
Name of Person who completed this form. *
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